MEDICARE: USA VEIN CLINICS OF COLORADO PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086S0129X	Vascular Surgery Physician

General Provider Information

NPI Number	:	1285488825
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	USA VEIN CLINICS OF COLORADO PLLC

Provider Business Mailing Address
First Line	:	PO BOX 791
Second Line	:
City	:	NORTHBROOK
State	:	IL
Zip	:	60065-0791
Country	:	US
Telephone Number	:	847-593-8460
Fax Number	:	224-235-4652

Provider Business Practice Location Address
First Line	:	2871 N SPEER BLVD
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80211-4226
Country	:	US
Telephone Number	:	847-593-8460
Fax Number	:	224-235-4652

Authorized Official
Title or Position	:	OWNER
Name	:	CHRISTOPHER A MORRISON
Credential	:	M.D.
Telephone Number	:	727-644-3038

Provider Enumeration Date	:	04/11/2024
Last Update Date	:	04/11/2024

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